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比较间歇性和持续性全身振动暴露对肌肉减少症和非肌肉减少症老年女性神经肌肉及功能指标的急性影响。

Comparing the Acute Effects of Intermittent and Continuous Whole-Body Vibration Exposure on Neuromuscular and Functional Measures in Sarcopenia and Nonsarcopenic Elderly Women.

作者信息

Miller Ryan M, Heishman Aaron D, Freitas Eduardo D S, Bemben Michael G

机构信息

Neuromuscular Laboratory, Department of Health and Exercise Science, University of Oklahoma, Norman, OK, USA.

出版信息

Dose Response. 2018 Sep 5;16(3):1559325818797009. doi: 10.1177/1559325818797009. eCollection 2018 Jul-Sep.

Abstract

This investigation examined the acute effects of continuous whole-body vibration (CWBV) and intermittent whole-body vibration (IWBV) on neuromuscular and functional measures in women with sarcopenia and nonsarcopenic women. Continuous whole-body vibration was one 6-minute exposure, while IWBV consisted of six 60-second exposures to rest intervals (30 Hz, 2-4 mm amplitude). Factorial analyses revealed group × exposure × time interactions for jump height (JH; F = 10.8, = .002), grip strength (GS; F = 15.5, < .001), timed up and go test (F = 11.7, = .002), and sit and reach test (S&R; F = 9.7, = .004). Both JH and GS significantly improved post-WBV in women with sarcopenia ( < .001), with post-IWBV significantly greater ( < .001) than post-CWBV. Timed up and go test and S&R significantly improved post-IWBV in both the groups ( < .001) with post-IWBV significantly better than post-CWBV ( < .001). Bench press power at 20% one repetition maximum (1RM) revealed an exposure × time interaction (F = 4.6, = .04) illuminating that IWBV significantly improved muscular power ( < .001). Bench press power at 40% 1RM revealed group × exposure (F = 6.4, = .016) and exposure × time interactions (F = 5.8, = .022). Individuals with sarcopenia significantly increased power output ( < .001) post-IWBV which was significantly greater than post-CWBV ( = .037). Bench press power at 60% 1RM revealed an exposure × time interaction (F = 8.6, = .006), indicating that power was significantly improved post-IWBV ( = .027) and decreased post-CWBV. Berg Balance scale revealed a time main effect (F = 6.64, = .015), and pain discomfort was significantly lower post-IWBV. These data indicate IWBV may provide a more efficacious exposure pattern in older women when compared to CWBV.

摘要

本研究调查了持续全身振动(CWBV)和间歇性全身振动(IWBV)对患有肌肉减少症的女性和未患肌肉减少症的女性的神经肌肉及功能指标的急性影响。持续全身振动为一次6分钟的暴露,而间歇性全身振动包括六次60秒的暴露并伴有休息间隔(30赫兹,振幅2 - 4毫米)。析因分析显示,在跳跃高度(JH;F = 10.8,P = .002)、握力(GS;F = 15.5,P < .001)、计时起立行走测试(F = 11.7,P = .002)和坐位体前屈测试(S&R;F = 9.7,P = .004)方面存在组×暴露×时间的交互作用。患有肌肉减少症的女性在全身振动后,JH和GS均显著改善(P < .001),且间歇性全身振动后的改善程度显著大于持续全身振动后(P < .001)。两组在计时起立行走测试和坐位体前屈测试中,间歇性全身振动后均显著改善(P < .001),且间歇性全身振动后的效果显著优于持续全身振动后(P < .001)。以一次重复最大值(1RM)的20%进行卧推力量测试显示出暴露×时间的交互作用(F = 4.6,P = .04),表明间歇性全身振动显著提高了肌肉力量(P < .001)。以1RM的40%进行卧推力量测试显示出组×暴露(F = 6.4,P = .016)和暴露×时间的交互作用(F = 5.8,P = .022)。患有肌肉减少症的个体在间歇性全身振动后功率输出显著增加(P < .001),且显著大于持续全身振动后(P = .037)。以1RM的60%进行卧推力量测试显示出暴露×时间的交互作用(F = 8.6,P = .006),表明间歇性全身振动后功率显著提高(P = .027),而持续全身振动后功率下降。伯格平衡量表显示出时间的主效应(F = 6.64,P = .015),且间歇性全身振动后疼痛不适显著减轻。这些数据表明,与持续全身振动相比,间歇性全身振动可能为老年女性提供更有效的暴露模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aaf/6125857/ce5206676998/10.1177_1559325818797009-fig1.jpg

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